Get the free Draft Model Form to Request Documentation from an Employer - CMS
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You may contact the Centers for Medicare Medicaid Services at phig cms. hhs. gov or 1-877-267-2323 ext. Dol.gov/ebsa for answers to common questions about your private employer health plan. You may also contact EBSA electronically at www. O I am not sure the methods my plan uses to calculate payment for out-of-network services such as its methods for determining usual customary and reasonable charges complies with parity protections. The valid OMB control number for this information...
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